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Home My WebLink Aboutralt-19-1069 City df Arcadia, CA Permit NO RALT 19 1069 4 t } r f Development Services Department i ;-} g ri 't -~ PermrzType"ResidentialAddition/Alteration a 240 West Huntington Drive,Post Office Box 60021 .j 'I " . r;. i 'i i i - - Arcadia,CA 91066-6021 ti s l r r . , 'Work classrficahon Res-Window Change-Out (626)574-5416 i ,.,_. -L .- _` - Permit5tatusassued ARCAD IA = T lssuetDeteL06/05/2019 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 163 W La Sierra DR Arcadia,CA 5782005004 Contacts COPPI,DONALD AND MADELINE IRS Owner BASHFORD ENTERPRISES* Contractor COPPI FAMILY TRUST 12155 PINEVILLE ST,EL MONTE,CA 91732 163 LA SIERRA DR (626)443-4833 319112 Description:RETRO FITTWO WINDOWS IN FAMILY ROOM. '• Valuation: $ 1,000.00 Tenant HIP PERMIT NO FEE" Total Sq Feet: 0.00 Plan Check it Plan N Fees Amount Payments Amount Paid Building Issuing Fee $47.01 Total Fees Building Permit Fees $61.65 Building Plan Review Fee $40.08 Cal Green Plan Check $4.01 Amount Due: Energy Plan Review Fee $12.33 Green Building Standard $1.00 Solid Waste Management Fee $6.25 co„ pLETED StranggMotion Inst.ProgrammRes $0.50 i !I 6II�iB Total: $172.83 CALLS FOR INSPECTIONS eV" Request for inspection by telephone at 626-574-5450. Leave a message (o-1 1-6g FANISC- requesting the address,timeframe and what inspection item is needed. This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. June 05, 2019 Issued By: Date June 05,2019 Page 1 of 1 cru`°'xp . • 1 PERMIT/PLAN REVIEW APPLICATION r::Kt' F* E4.41' Development Services Department,240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416,Fax(626)447-9173 City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full forceorand effect. 2� 0 I have and will maintain a certificate of consent to self-insure for workers' License Class License N. " 1 1I2- Exp. Date v compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contrac., ii , " orr OWNER-B t DER t CL•�TI 0 I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury tha i exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following mason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, I Carrier QN -F1 demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number - provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of 0 I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 370 t + e Labor Code,I shall ❑I, as owner of the property, forthwith co ply with those provisions. or my employees with wages as their sole I// compensation,will do the work,and the structure is not intended or offered for & 5/rq Signature,' . ,: I' sale(Section 7044,Business and Professions Code:The Contractors License Date Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own - - -- - -- -- - - employees,provided that such improvements are not intended or offered for " WARNING: Failure to secure Workers'Com+-'satio• 'verage is unlawful, sale.If,however,the building or improvement is sold within one,(1)year of and shall subject an employer to criminal penalties and civil fines up to one. completion,the owner-builder will have the burden of proving that he or she hundredthousand dollars($100,000),inaddition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees.- ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Iaw). for the performance of the work for which this permit is issued (Section 3097, Civil Code). 0 I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUH.DING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. VameP741-,;/ l Title OC� ��L,��n/ PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter 'on the above- ' ' :1 ned property for inspection purposes. I� r/Q gnatur% \Date fr/ii s • BASIITIORD ENTERPRISES 12155 PINE'VILLE.ST EL 911O9V7E, CALIF 91732 OW: 626 443-4833 FAX 626 444-6482 Licensed Insured Bonded..... 6ashent@s6cgt baCnet. ,G n ct € 1103 UJ . Lc. 5iQfrcc_ jar A-vlca:d'la , LJ4- Sxy r" 8x3 S. 1+ aa.v� 1(. 6 ` x o s. -�— U caete, . a3 ROUTING ACTION— `� Date and /��\, .. �o" / 'See Initials r_ i fPQe C Ham; /Q�G Notes PlaEnt.nin. ( -`` ' - _ on Sheet it � -lq . MATc+I �� _ _ Buildin' X �(5 IR _t_Gr-. ii Thn,9 IGJ sckbn Are - - . - — ?�1i4" GBc.- PWS-Water WELO1 --- Tres J F CITY OF ARCADIA HOME IMPROVEMENT PROGRAM Permit Fee Waiver Form The full name of the property owner(s) .is/are anAIol awA (Aa cleL'% Gepp The full address of the subject property is 1 (F 3 l u. La 5 iai' Dr' ve-2 - A HIP grant has been approved for the subject property as of 6/D/ I 1 The awarded contractor is 3c ' �'hLo r i The approved improvements are (Ai iweloW6)r - tit ctKte.-,.. —: By signing below, the housing consultant confirms the information is true and correct: 42 211 61 Beatri Picon Date Housing Consultant NOTICE TO PROCEED May 22,2019 TO: Bashford Enterprises 12155 Pineville Street El Monte Ca RE: Donald and Madeline Coppi 163 W.La Sierra Drive Arcadia,CA 91007 Dear Contractor: You are hereby notified to commence and proceed with the rehabilitation/construction work on the above subject property, as per the executed Owner / Contractor Construction Contract. Maximum construction payment is in the amount of$6,775.00 Contractor's failure to commence work,without lawful excuse, within(10)ten-days from the date specified above may cause the cancellation of the contract by the property owner as failure to perform. The work shall be completed within the terms and conditions of the Construction Contract. Should you have any questions regarding this letter, please feel free to contact me at 626 574- 5446. Sincerely, • Be 'ce icon Program Specialist